NPIMap

Individual provider Active NPI

Leslie M Stuck, MD

  • Internal Medicine Physician
  • West Columbia, SC
National Provider Identifier
1437110756
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15052 Issued in SC
Practice address
103 Saluda Ridge CT
West Columbia, SC 29169-3455
Phone
(803) 794-3320
Fax
(803) 794-3157
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15052 SC Primary

Addresses

Primary practice location

103 Saluda Ridge CT
West Columbia, SC 29169-3455

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 434-7320

Other identifiers 2

IdentifierTypeStateIssuer
150525MedicaidSC
SC7755A105OtherSCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000813 SC Practitioner - Internal Medicine 1052445665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

103 Saluda Ridge CT
West Columbia, SC 29169-3455
Phone (803) 794-3320

Hospital & facility affiliations

  • Prisma Health Homecare Home health agency, Columbia, SC, CCN 427013
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Amedisys Home Health of Camden Home health agency, Camden, SC, CCN 427036
  • Providence Home Health Home health agency, Columbia, SC, CCN 427109
  • Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
  • Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106
  • Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
  • Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
  • Newberry County Memorial Hospital Hospital, Newberry, SC, CCN 420053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Columbia Medical Associates, P.a. Internal Medicine Current Accepting new patients

Locations

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

2750 Laurel St
Ste S303
Columbia, SC 29204
Phone (803) 252-1953

3555 Harden Street Ext
Ste 300
Columbia, SC 29203
Phone (803) 434-6411

2750 Laurel St
Ste 303
Columbia, SC 29204
Phone (803) 252-1953

103 Saluda Ridge Ct
West Columbia, SC 29169
Phone (803) 794-3320

Interoperability endpoints

  • Direct secure messaging: lstuck384741@direct.ghs.myhfn.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1437110756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-434-7320",
            "fax_number": "803-434-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SALUDA RIDGE CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693455",
            "telephone_number": "803-794-3320",
            "fax_number": "803-794-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCK",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150525",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SC7755A105",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.